CPC Question #123: Real Exam Question with Answer & Explanation

The patient is admitted to observation status, at 10:00 am in the morning, with sharp chest pain when breathing. The physician performs the following: Number and Complexity of Problems Addressed at the Encounter - Moderate Amount and/or Complexity of Data to Be Reviewed and Analyzed - Low Risk of Complications and/or Morbidity or Mortality of Patient Management - Moderate The patient was discharged home from observation status at 10:00 pm on the same day. Discharge diagnosis is costochondritis. What E/M coding is reported?